Description
We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.
The Case Management Coordinator is a work from home position with travel required (in Maricopa County, Arizona) to visit members. This person utilises skills to coordinate, document, and communicate all aspects of the utilisation/benefit management programme.
Job Duties:
- Evaluate Members: Conduct comprehensive evaluations of referred member's needs/eligibility and recommend approaches to case resolution and/or meeting needs.
- Enhancement of Medical Appropriateness and Quality of Care: Use a holistic approach to overcome barriers to meet goals and objectives; present cases at case conferences to obtain multidisciplinary review.
- Monitoring, Evaluation, and Documentation of Care: Utilise case management processes in compliance with regulatory and accreditation guidelines.
Required Qualifications:
- 2+ years of experience in case management, working with people who have been designated as having a serious mental illness (SMI) and working with people who are elderly.
- Must reside in West Valley, Arizona.
- Ability to travel up to 50% of the time within West Valley, Arizona.
Preferred Qualifications:
- Previous experience working with members with a physical disability.
- Strong organisational and time management skills.
- Ability to collaborate with both internal and external partners.
- Demonstrated proficiency in Microsoft Office Suite, including Outlook, Word, etc.
- Previous experience collaborating with medical professionals.
- Bilingual (English/Spanish).
- Bachelor's degree in Social Work, Psychology, Special Education, or Counselling.
Education:
- Bachelor's degree or licensed RN (Registered Nurse), valid in the state of Arizona.
Anticipated Weekly Hours:
- 40
Time Type:
- Full time
Pay Range:
- $21.10 - $40.90
Benefits:
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programmes